MRS. MUJEEB KHALIQUE M.D.
NPI 1104870252
Psychologist - Clinical Child & Adolescent in West Hartford, CT

NPI Status: Active since May 22, 2006

Contact Information

45 S MAIN ST
WEST HARTFORD, CT
ZIP 06107
Phone: (860) 763-7008
Fax: (860) 763-3856

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  • Individual
  • Female
  • Years of Experience 55
  • Psychologist
  • Clinical Child & Adolescent
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MUJEEB KHALIQUE

This page provides the complete NPI Profile along with additional information for Mujeeb Khalique, a provider established in West Hartford, Connecticut with a medical specialization in Psychologist, focusing in clinical child & adolescent and more than 55 years of experience. The healthcare provider is registered in the NPI registry with number 1104870252 assigned on May 2006. The practitioner's primary taxonomy code is 103TC2200X with license number 024036 (CT). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1104870252
Provider Name
MRS. MUJEEB KHALIQUE M.D.
Gender
Female
Entity Type
Individual
Location Address
45 S MAIN ST WEST HARTFORD, CT 06107
Location Phone
(860) 763-7008
Location Fax
(860) 763-3856
Mailing Address
45 S MAIN ST WEST HARTFORD, CT 06107
Mailing Phone
(860) 763-7008
Mailing Fax
(860) 763-3856
Medical School Name
OTHER
Graduation Year
1971
Is Sole Proprietor?
Yes
Enumeration Date
05-22-2006
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
License No.
024036
License State
CT
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C59663MEDICARE UPIN (02)CT 

Medicare Participation & PECOS Enrollment Status

Mujeeb Khalique is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Mujeeb Khalique is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9739368705

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110122000061

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MRS. MUJEEB KHALIQUE M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104870252, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 6 + 7 + 0 + 2 + 1 + 0 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104870252.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
45 S MAIN ST, SUITE 102
WEST HARTFORD, CT 06107
Physical Therapist
45 S MAIN ST, SUITE 100
WEST HARTFORD, CT 06107
Optometrist
45 S MAIN ST, SUITE 111
WEST HARTFORD, CT 06107
Massage Therapist
45 S MAIN ST
WEST HARTFORD, CT 06107
Massage Therapist
45 S MAIN ST
WEST HARTFORD, CT 06107
Marriage & Family Therapist
45 S MAIN ST, 208
WEST HARTFORD, CT 06107
Internal Medicine
45 S MAIN ST, SUITE 203
WEST HARTFORD, CT 06107
Family Medicine
45 S MAIN ST, SUITE 212
WEST HARTFORD, CT 06107
Social Worker (Clinical)
45 S MAIN ST
WEST HARTFORD, CT 06107
Community/Behavioral Health
45 S MAIN ST, SUITE 107
WEST HARTFORD, CT 06107
Social Worker (Clinical)
45 S MAIN ST, SUITE 107
WEST HARTFORD, CT 06107
Social Worker (Clinical)
45 S MAIN ST
WEST HARTFORD, CT 06107
Counselor (Professional)
45 S MAIN ST, SUITE 107
WEST HARTFORD, CT 06107
Community/Behavioral Health
45 S MAIN ST, SUITE 107
WEST HARTFORD, CT 06107
Clinic/Center (Mental Health (Including Community Mental Health Center))
45 S MAIN ST, SUITE 107
WEST HARTFORD, CT 06107
Psychologist
45 S MAIN ST, SUITE 110
WEST HARTFORD, CT 06107
Ophthalmology
45 S MAIN ST, SUITE 111
WEST HARTFORD, CT 06107
Acupuncturist
45 S MAIN ST, SUITE 206
WEST HARTFORD, CT 06107
Counselor (Professional)
45 S MAIN ST, STE 107
WEST HARTFORD, CT 06107
Psychologist (Clinical)
45 S MAIN ST, SUITE 70
WEST HARTFORD, CT 06107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104870252, enumerated as an "individual" on May 22, 2006.

The provider is located at 45 S MAIN ST WEST HARTFORD, CT 06107 and the phone number is (860) 763-7008.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.